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  1. psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
    February 18, 2011 - Study Classic Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. Citation Text: Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…
  2. psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
    September 18, 2009 - Study Medicare payment for selected adverse events: building the business case for investing in patient safety. Citation Text: Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millw…
  3. psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-review-ihi-response
    March 13, 2013 - Commentary Classic Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. Citation Text: Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7. Copy Cit…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61037/psn-pdf
    January 01, 2021 - What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020 Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. Jt Comm J Qual Patie…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47559/psn-pdf
    November 14, 2018 - Changes in prevalence of health care-associated infections in U.S. hospitals. November 14, 2018 Magill SS, O'Leary E, Janelle SJ, et al. Changes in Prevalence of Health Care-Associated Infections in U.S. Hospitals. N Engl J Med. 2018;379(18):1732-1744. doi:10.1056/NEJMoa1801550. https://psnet.ahrq.gov/issue/change…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40405/psn-pdf
    February 10, 2015 - The social cost of adverse medical events, and what we can do about it. February 10, 2015 Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. https://psnet.ahrq.gov/issue/social-cost-adv…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36291/psn-pdf
    October 25, 2010 - Medicare payment for selected adverse events: building the business case for investing in patient safety. October 25, 2010 Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millwood). 2006;25(5):1386-93. https:/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37974/psn-pdf
    March 04, 2011 - The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. March 4, 2011 Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Health Serv Res. 2008;43(6):2067-85. doi:10.1111/j.1475-6773.2008.00882.x. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50841/psn-pdf
    January 29, 2020 - units of transfused red blood cell units results in death due to acute hemolytic reaction.17,18 When estimating
  10. psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
    March 01, 2015 - Because outpatient ambulatory health care delivery is a fragmented process, estimating medication errors
  11. psnet.ahrq.gov/taxonomy/term/3477
    Failure Mode and Effect Analysis (FMEA) A common process used to prospectively identify error risk within a particular process. FMEA begins with a complete process mapping that identifies all the steps that must occur for a given process to occur (e.g., programming an infusion pump or preparing an intravenous medicat…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44560/psn-pdf
    January 23, 2017 - What is the return on investment for implementation of a crew resource management program at an academic medical center? January 23, 2017 Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Academic Medical Center? Am J Med…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39852/psn-pdf
    February 10, 2015 - National costs of the medical liability system. February 10, 2015 Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807. https://psnet.ahrq.gov/issue/national-costs-medical-liability-system The role of medi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44353/psn-pdf
    November 03, 2015 - Evaluation of symptom checkers for self diagnosis and triage: audit study. November 3, 2015 Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h3480. https://psnet.ahrq.gov/issue/evaluation-symptom-checkers-self…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38983/psn-pdf
    February 10, 2015 - Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. February 10, 2015 Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Health Aff (Millwood). 2009;28(5):1475-1484. doi:10.1377/hlthaff.28.5.1475. https://psnet.ahrq.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42895/psn-pdf
    December 18, 2014 - National trends in patient safety for four common conditions, 2005–2011. December 18, 2014 Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005- 2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991. https://psnet.ahrq.gov/issue/national-trends-patie…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37831/psn-pdf
    December 23, 2012 - Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals. December 23, 2012 Kronman MP, Hall M, Slonim A, et al. Charges and lengths of stay attributable to adverse patient-care events using pediat…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43928/psn-pdf
    April 08, 2018 - Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. April 8, 2018 Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. Diagnosis …
  19. psnet.ahrq.gov/periodic-issue/periodic-issue-333
    March 31, 2022 - March 16, 2022 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47267/psn-pdf
    September 05, 2018 - The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. September 5, 2018 Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. J Am M…

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